<!DOCTYPE html>
<html>

	<head>
		<meta charset="UTF-8">
		<title>欢迎页面-小螺号</title>
		<meta name="renderer" content="webkit">
		<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
		<meta name="viewport" content="width=device-width,user-scalable=yes, minimum-scale=0.4, initial-scale=0.8,target-densitydpi=low-dpi" />
		<link rel="shortcut icon" href="/favicon.ico" type="image/x-icon" />
		<link rel="stylesheet" href="./css/font.css">
		<link rel="stylesheet" href="./css/xadmin.css">
		<script type="text/javascript" src="js/jquery.min.js"></script>
		<script type="text/javascript" src="./lib/layui/layui.js" charset="utf-8"></script>
		<script type="text/javascript" src="./js/xadmin.js"></script>
		<!-- 让IE8/9支持媒体查询，从而兼容栅格 -->
		<!--[if lt IE 9]>
      <script src="https://cdn.staticfile.org/html5shiv/r29/html5.min.js"></script>
      <script src="https://cdn.staticfile.org/respond.js/1.4.2/respond.min.js"></script>
    <![endif]-->
	</head>

	<body>
		<div class="x-body">
			<form class="layui-form">
				<div class="layui-form-item">
					<label for="L_username" class="layui-form-label">
                  <span class="x-red">*</span>提款单号
              </label>
					<div class="layui-input-inline">
						<input type="text" id="tkid" name="tkid" required="" disabled class="layui-input">
					</div>

				
				</div>
				<div class="layui-form-item">
					<label for="L_username" class="layui-form-label">
                  <span class="x-red">*</span>提款人
              </label>
					<div class="layui-input-inline">
						<input type="text" id="tkuser" name="tkuser" required="" disabled  class="layui-input">
					</div>

					
				</div>
				<div class="layui-form-item">
					<label for="L_username" class="layui-form-label">
                  <span class="x-red">*</span>提款账号
              </label>
					<div class="layui-input-inline">
						<input type="text" id="bankzh" name="bankzh" required="" disabled  class="layui-input">
					</div>

				
				</div>
				<div class="layui-form-item">
					<label for="L_username" class="layui-form-label">
                  <span class="x-red">*</span>银行名称
              </label>
					<div class="layui-input-inline">
						<input type="text" id="bank" name="bank" required="" disabled  class="layui-input">
					</div>

					
				</div>
				<div class="layui-form-item">
					<label for="L_username" class="layui-form-label">
                  <span class="x-red">*</span>支行地址
              </label>
					<div class="layui-input-inline">
						<input type="text" id="address" name="address"  disabled  class="layui-input">
					</div>

					
				</div>
				
				<div class="layui-form-item">
					<label for="L_email" class="layui-form-label">
                  <span class="x-red">*</span>金额
              </label>
					<div class="layui-input-inline">
						<input type="number" id="price" name="price" disabled class="layui-input">
					</div>

				</div>
				<div class="layui-form-item">
					<label for="L_email" class="layui-form-label">
                  <span class="x-red">*</span>扩展1
              </label>
					<div class="layui-input-inline">
						<input type="number" id="price" name="price"  class="layui-input">
					</div>

				</div>
				<div class="layui-form-item">
					<label for="L_email" class="layui-form-label">
                  <span class="x-red">*</span>扩展2
              </label>
					<div class="layui-input-inline">
						<input type="number" id="price" name="price"  class="layui-input">
					</div>

				</div>
				<div class="layui-form-item">
					<label for="L_email" class="layui-form-label">
                  <span class="x-red"></span>
              </label>
					<button class="layui-btn" lay-filter="add" lay-submit="">确定</button>
				</div>
			</form>
		</div>
		<script>
			layui.use(['form', 'layer'], function() {
				$ = layui.jquery;
				var form = layui.form,
					layer = layui.layer;


				//监听提交
				form.on('submit(add)', function(data) {
					console.log(data);
					//发异步，把数据提交给php
					layer.alert("增加成功", {
						icon: 6
					}, function() {
						// 获得frame索引
						var index = parent.layer.getFrameIndex(window.name);
						//关闭当前frame
						parent.layer.close(index);
					});
					return false;
				});

			});
		</script>

	</body>

</html>